Organization Name: | GULFMED CENTERS INC |
NPI Number: | 1669563045 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IRAJ GOLZARI (MD) |
Mailing Address: | 1869 S Tamiami Tr Venice |
State: | FL US |
Postal Code: | 34293 |
Phone Number: | 9414970377 |
Fax Number: | 9414970278 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 06/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0046011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |